| Dfw Prompt Care Pa | |
|
7151 Colleyville Blvd Suite103 Colleyville TX 76034-8030 | |
| (817) 416-1931 | |
| (817) 488-8527 |
| Full Name | Dfw Prompt Care Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7151 Colleyville Blvd, Colleyville, Texas |
| Authorized Official Name and Position | Rehan Abbas Khan (PRESIDENT) |
| Authorized Official Contact | 9729850492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfw Prompt Care Pa Po Box 2959 Grapevine TX 76099-2959 Ph: (817) 416-1931 | Dfw Prompt Care Pa 7151 Colleyville Blvd Suite103 Colleyville TX 76034-8030 Ph: (817) 416-1931 |
| NPI Number | 1437240934 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 11/21/2023 |
| Medicare PECOS PAC ID | 8527060805 |
|---|---|
| Medicare Enrollment ID | O20070215000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437240934 | NPI | - | NPPES |
| 0057N7 | Other | TX | BLUE CROSS BLUE SHEILD |
| 187692201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J9728 (Texas) | Primary |
| 207R00000X | Internal Medicine | J9698 (Texas) | Secondary |
| Provider Name | Rehan A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134104284 PECOS PAC ID: 3072515360 Enrollment ID: I20070215000722 |
| Provider Name | Iram Hamdard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730164252 PECOS PAC ID: 5890797187 Enrollment ID: I20070215000729 |
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